Mercy Care Available Referral Options

Applicable to: Mercy Care Complete Care, Mercy Care RBHA, Mercy Care DD, Mercy Care DCS CHP, Mercy Care Long Term Care and Mercy Care Advantage

Do you have a member who may need extra help managing their care? Mercy Care coordinates services for its highest risk members with complex conditions and helps them access needed resources. Below are referral options available to you. For Mercy Care Long Term Care members only, please notify the assigned LTC Case Manager in regard to the below, as every member is assigned a case manager

• For members who have Mercy Care without Medicare: an email using the Care Management Referral Form (PDF) can also be sent to AcuteCMReferral@mercycareaz.org.
• For members who are pregnant, an email using the Perinatal Referral Form (PDF) can also be sent to: OBfaxes@aetna.com.
• For members who have Mercy Care Advantage: an email using the MCA Care Management Referral Form (PDF) can also be sent to MCACMReferral@mercycareaz.org.
• For Integrated RBHA Members: an email using the Care Management Referral Form (PDF) can also be sent to AcuteCMReferral@mercycareaz.org.
• For Medicaid members with addictions to habit-forming substances, our Exclusive Prescriber Program can help. Send an email using the Exclusive Prescriber Program Referral Form (PDF) to: MCP-PharmLock2@AETNA.com.

For more information regarding our Complex Care Management please visit our website: https://www.mercycareaz.org/providers/completecare-forproviders/casemanagement or as always, do not hesitate to contact your Mercy Care Network Management Representative with any questions or comments.

Thanks for all you do!